| NPI | 1033675863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F309092) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 499226) |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2020-08-13 |